Organization
NINA PHARMACY INC
Active
Other names
Nina Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL SILVA (OWNER)
(786) 222-2655
Entity
Organization
Contact information
Practice address
4723 NW 79TH AVE, DORAL, FL 33166-5403
(305) 471-0091
(305) 471-0096
Mailing address
4723 NW 79TH AVE, DORAL, FL 33166-5403
(305) 471-0091
(305) 471-0096
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144908
PK
—
Enumeration date
05/12/2014
Last updated
05/12/2014
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